Evidence map›Paper›PMID 33856332›Full record

Observational studyThe western journal of emergency medicine2021

Prospective Observational Multisite Study of Handover in the Emergency Department: Theory versus Practice.

Philipp Ehlers, Matthias Seidel, Sylvia Schacher, Martin Pin, Rolf Fimmers, Monika Kogej, Ingo Gräff

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Philipp EhlersUniversity Hospital Bonn, Department of Emergency Medicine, Bonn, Germany.
Matthias SeidelUniversity Hospital Bonn, Department of Emergency Medicine, Bonn, Germany.
Sylvia SchacherHospital Köln Kalk, Department of Emergency Medicine, Cologne, Germany.
Martin PinHospital Florence Nightingale Düsseldorf, Department of Emergency Medicine, Düsseldorf, Germany.
Rolf FimmersUniversity Hospital Bonn, Institute for Medical Biometry, Informatics and Epidemiology, Bonn, Germany.
Monika KogejUniversity Hospital Bonn, Department of Emergency Medicine, Bonn, Germany.
Ingo GräffUniversity Hospital Bonn, Department of Emergency Medicine, Bonn, Germany.
Zimmer Biomet (Germany) · DEUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe handover process in the emergency department (ED) is relevant for patient outcomes and lays the foundation for adequate patient care. The aim of this study was to examine the current prehospital to ED handover practice with regard to content, structure, and scope.

methodsWe carried out a prospective, multicenter observational study using a specifically developed checklist. The steps of the handover process in the ED were documented in relation to qualification of the emergency medical services (EMS) staff, disease severity, injury patterns, and treatment priority.

resultsWe documented and evaluated 721 handovers based on the checklist. According to ISBAR (Identification, Situation, Background, Assessment, Recommendation), MIST (Mechanism, Injuries, Signs/Symptoms, Treatment), and BAUM (Situation [German: Bestand], Anamnesis, Examination [German: Untersuchung], Measures), almost all handovers showed a deficit in structure and scope (99.4%). The age of the patient was reported 339 times (47.0%) at the time of handover. The time of the emergency onset was reported in 272 cases (37.7%). The following vital signs were transferred more frequently for resuscitation room patients than for treatment room patients: blood pressure (BP)/(all comparisons p < 0.05), heart rate (HR), oxygen saturation (SpO

conclusionDespite many studies on handover standardization, there is a remarkable inconsistency in the transfer of information. A "hand-off bundle" must be created to standardize the handover process, consisting of a uniform mnemonic accompanied by education of staff, training, and an audit process.

Indexed as

Emergency Service, HospitalPatient Care BundlesPatient HandoffAllied Health PersonnelChecklistEmergency Medical ServicesFemaleGermanyHealth Services Needs and DemandHumansMaleMiddle AgedPhysiciansProspective StudiesQuality Improvement

Identifiers

PMID33856332
PMCPMC7972381
OpenAlexW3127631344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.